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有效的口腔指标与医疗和牙科合作在开放心脏手术:一个代表性的调查调查
Kaori Ono1, Shouji Hironaka2, Akemi Utsumi2
1Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN.
Cureus
|July 15, 2024
概括
使用口腔健康评估工具 (OHAT-J) 的术前口腔健康评估可以预测心脏手术患者的术后感染和住院时间. 这个简单的工具有助于医疗保健专业人员.
科学领域:
- 心血管外科心血管外科
- 口腔医学是指口腔医学.
- 传染病流行病学 传染病流行病学
背景情况:
- 手术后感染是心脏手术患者的一个重大问题.
- 糟糕的口腔健康与延长住院时间有关.
- 术前口腔健康评估对于患者的治疗结果至关重要.
研究的目的:
- 确定手术前的口腔健康状况和经过心脏手术的患者的术后结果之间的关系.
- 调查口腔健康评估工具对并发症和住院时间的预测价值.
主要方法:
- 一组25名接受开放心脏手术的患者进行了手术前评估.
- 口腔检查包括口腔健康评估工具 (OHAT-J),修订口腔评估指南 (ROAG),口腔水分和细菌计数 (Streptococcus γ).
- 分析了口腔健康参数和术后状态 (感染,住院,ICU停留) 之间的关联.
主要成果:
- 老年患者 (≥70岁),较高的OHAT-J得分 (≥5),特定的OHAT-J唇部得分 (≥1) 和升高的 estreptococcus γ数量 (≥1.0 × 10^6 CFU/mL) 与显著的术后感染有关.
- 住院时间与OHAT-J,OHAT-J牙和组织得分以及ROAG相关.
- 重症监护室 (ICU) 停留时间与OHAT-J得分相关.
结论:
- OHAT-J得分是术后感染,住院时间和心脏手术患者的ICU停留时间的有价值预测指标.
- OHAT-J是医疗保健专业人员的一种简单,易于使用的工具,不需要专门的牙科设备.
- 将口腔健康评估整合到手术前的方案中,可以改善患者的管理和结果.
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